耳膿 

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耳膿

文章groovymom » 2005-10-05, 14:00

線上醫師好,我家兒子的左耳在一年前曾發炎,是黃色的分泌物,之後就一直陸續反覆感染,四個月前做過細菌培養,長了白色葡萄球菌,用過Virbac的" Dexoryl "這種耳藥約兩週,情況有好轉,而且原本很差的聽力(醫生說是因為有膿)有恢復,但現在還是ㄧ樣兩天就會積滿一隻耳朵的膿,偶會有黃綠色膿,但以黃色和褐色為主.....當然...很臭,但平常洗澡有注意沒讓耳朵浸水,他也沒有甩頭或搔耳的動作.......請問我應該怎麼做才能根治這惱人的耳病呢 :cry:
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文章Jeff Wang » 2005-10-06, 07:38

It sounds like a chronic ear infection. Most of time I will do a culture and sensitivity test to find out what kind of germ and what is the right antibiotic to take care of that. And I will do a thorough ear flush under general anesthesia. Otherwise the topical medicine won't go in well. For the chronic otitis, it may take a long long time to recover. If the problem is too severe, some time we will recommend to do a Zap procedure(to open the ear canal surgically) or even a total ear ablation.

Jeffrey Wang DVM MPH
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文章groovymom » 2005-10-08, 09:50

groovy在今年6/9的culture長的是staphylococcus,我應該再幫他做一次culture嗎,另位我想請問的是groovy的creatinine data在2003.07.23是1.4 在2003.08.02是1.56 但到了2004.11.16卻上升到1.71 而2005.03.18則是1.7 這樣要緊嗎,問過幾位醫生都說也許他本來就是正常偏高的體質,我需要在飲食上注意什麼嗎,謝謝
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文章Jeff Wang » 2005-10-12, 00:18

Hi:
I am sorry for the late response. I didn't notice your question earlier. I think the the key point is the sensitivity test to find out which antibiotis really works on the germ. The creatinine values you gave me are all within normal range. Don't worry too much. Please let the dog have free choice of water all the time.

Jeffrey Wang DVM MPH
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文章groovymom » 2005-11-02, 13:37

sorry太久沒上來看
謝謝王醫師的回覆
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